Let us worry about your financial health so you can focus on patient care.
At MedLedger, we specialize in providing expert bookkeeping services tailored to meet the unique needs of medical professionals. Our dedicated team ensures accurate financial records and compliance, allowing you to focus on delivering exceptional patient care.
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About Us
Our Mission
MedLedger Bookkeeping is a bookkeeping company designed specifically for medical professionals, offering specialized services to streamline financial processes and ensure compliance. Our mission is to support healthcare providers in managing their finances effectively, allowing them to devote more time to their patients.
Services
What We Offer
Our services include comprehensive bookkeeping, HR, and payroll solutions tailored for medical practices, covering financial record maintenance, compliance management, and financial analysis to support informed decision-making.
Essential Care
Solo doctors & small clinics
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Monthly bookkeeping
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Medical-specific chart of accounts
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Profit & Loss, Balance Sheet
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Bank & credit reconciliation
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HIPAA-compliant document handling
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Quarterly financial check-ins
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Tax-ready expense categorization
Intensive Care
Specialists & multi-provider offices
Includes Essential Care, plus:
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KPI dashboard (Net Collection Rate, AR Days, etc.)
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KPI insights by provider
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Basic EMR/EHR & billing sync
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Signed BAA (HIPAA compliance)
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HIPAA Certified file sharing
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Secure monthly reporting
Growth & Compliance Pro
Multi-location or scaling practices
Includes Intensive Care, plus:
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Full KPI suite (15+ metrics: payer mix, no-show rate, etc.)
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Seasonal budgeting & forecasting
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Custom reporting by provider/service line
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Year-end tax coordination (CPA-ready)
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Dedicated support & audit readiness
Payroll + HR
Add flexibility as your practice grows
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What's included:
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Direct deposit & tax filings
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PTO tracking
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New hire checklist
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I-9/W-4 storage guidance
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Time tracking integration
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Benefits deduction support
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1099/W-2 classification review
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Employee onboarding tracking
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Incentive & bonus tracking
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ACA reporting support
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Year-end payroll audits for IRS
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HR policy documentation support
Experience
Medical professionals rely on Medledger Bookkeeping for our expertise, precision, and commitment to delivering exceptional bookkeeping services tailored for the healthcare industry.
Family Practice
In 2021 we worked with busy family practice to overhaul their financial operations. We implemented QuickBooks Online from the ground up—building a tailored chart of accounts optimized for medical services, insurance reimbursements, and overhead tracking. Each month, we delivered custom KPI dashboards for ownership—highlighting Net Collection Rate, AR Days, provider productivity, and payer mix—which empowered data-driven decisions. During our cash-flow review, we even uncovered a missed credit-card payment that, once corrected, improved their month-end reconciliation by $24,000.
Home Healhcare
In 2024, we partnered with a growing home healthcare agency to streamline their financial operations end-to-end. After converting their outdated QuickBooks Desktop file to QuickBooks Online, we performed a comprehensive 13-month historical review—catching up unposted transactions and uncovering a skewed payor mix that was triggering $150,000 in monthly contractual adjustments. By redesigning their chart of accounts and setting up automated bank feeds, we not only halted revenue leakage but also provided clear KPI reporting that empowered leadership to optimize payer relationships and improve net collections.
Cardiology
At MedLedger Bookkeeping, we recently partnered with a small cardiology practice to build out their financial infrastructure from scratch. We configured QuickBooks Online with a cardiology-specific chart of accounts, set up automated bank feeds, and implemented a full payroll solution—complete with benefits deductions and tax filings. By outsourcing these critical functions, the practice avoided the expense of hiring in-house finance staff, reducing overhead by over 40% while gaining real-time financial visibility and ensuring 100% compliance.
Get in Touch
Contact Us Today
Reach out to MedLedger for all your bookkeeping needs tailored for medical professionals. Let's work together to ensure the financial success of your practice.
